Wound Classification II (Clean-Contaminated) occurs when the respiratory, alimentary, or genitourinary tract is entered under controlled conditions without evidence of infection or contamination or major break in technique ie spillage. Which option reflects this classification?

Wound Classification II (Clean-Contaminated) occurs when the respiratory, alimentary, or genitourinary tract is entered under controlled conditions without evidence of infection or contamination or major break in technique ie spillage. Which option reflects this classification?

• A. The respiratory tract entered under controlled conditions without infection
• B. Wound is not infected or inflamed; procedures did not involve enteric tracts; wound primarily closed
• C. Old wound with necrosis
• D. Wound with purulence

Answer: (A)

Wound classifications distinguish how a wound was created and the level of contamination. Clean-contaminated means the respiratory, alimentary, or genitourinary tract is entered under controlled conditions without evidence of infection or a major breach in technique. The description of entering the respiratory tract under controlled conditions without infection fits this exactly: there is deliberate access to a tract that carries normal flora, but no infection and no significant lapse in sterile technique. The other scenarios describe either a clean wound (no tract entry, no infection), an old wound with necrosis (devitalized tissue and potential contamination), or a wound with purulence (infection), none of which match clean-contaminated.

Wound classifications distinguish how a wound was created and the level of contamination. Clean-contaminated means the respiratory, alimentary, or genitourinary tract is entered under controlled conditions without evidence of infection or a major breach in technique. The description of entering the respiratory tract under controlled conditions without infection fits this exactly: there is deliberate access to a tract that carries normal flora, but no infection and no significant lapse in sterile technique.

The other scenarios describe either a clean wound (no tract entry, no infection), an old wound with necrosis (devitalized tissue and potential contamination), or a wound with purulence (infection), none of which match clean-contaminated.